| Centerpiece Llc | |
|
2638 Tulip Ln Suite B Green Bay WI 54313-2800 | |
| (920) 660-7555 | |
| (920) 429-2845 |
| Full Name | Centerpiece Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2638 Tulip Ln, Green Bay, Wisconsin |
| Authorized Official Name and Position | Janice Miles (OFFICE MANAGER) |
| Authorized Official Contact | 9206607555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerpiece Llc 2638 Tulip Ln Suite B Green Bay WI 54313-2800 Ph: (920) 660-7555 | Centerpiece Llc 2638 Tulip Ln Suite B Green Bay WI 54313-2800 Ph: (920) 660-7555 |
| NPI Number | 1316294895 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316294895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 40-140 (Wisconsin) | Primary |
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